Effective Tuesday June 4, 2013, an Epic process for ordering infectious disease testing on the source patient of a body fluid exposure incident will become available.  This will be Epic order # LAB7513.

Summary of changes:                                                                                  

• The order provides a process for ordering hepatitis B surface antigen (LAB625), hepatitis C antibody (LAB627), and/or HIV antigen/antibody combo (LAB7444) on the source patient of a body fluid exposure (e.g., needle or scalpel stick, body fluid splash).
• The order has options for the appropriate consent process which varies based on age of source patient (minor < 18 years old vs. adult 18 years or older) and whether testing can be performed as add-on to existing blood sample or requires a new blood draw on the source patient.
• The results route to an anonymous restricted ("break the glass") account based on the category of exposed person (UI/UIHC employee, UI student, UI College of Dentistry, or other). The accounts use anonymous MRN # (10-XXXXX-X) and are based on where the testing charges are to be directed, as neither the source patient nor the exposed person is billed for the source patient testing.  Entry into this account is audited by Hospital Compliance.  Test results are kept anonymous by being reported to the appropriate one of these MRNs and do not file in the source patient’s Epic record.

These changes align with current state law requirements for HIV testing and UI HealthCare Policy, Policy Governing Human Immunodeficiency Virus (HIV) Education, Testing, Reporting and Confidentiality.

For more detailed information, including screenshots of all the order steps, please see:  Guidelines for Post Blood and Body Fluid Exposure on Source Patient

If you have Significant Exposure Packets in your units or clinics, please return them to the Social Service Main Office (C-124 GH).

Questions should be directed to Matthew Krasowski, MD, PhD, Director of Clinical Laboratories (384-9380, matthew-krasowski@uiowa.edu) or Stephanie Holley, Infection Control and Prevention (356-0311, stephanie-holley@uiowa.edu).